Context & Safety Intake

Organize family context, contact opportunities, direct observations, safety questions, and protective factors before a professional conversation. This is not a score, diagnosis, custody recommendation, or legal finding.

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Role completing the intake

Family contextWhat is the current arrangement or change in contact? Use neutral, observable language.Contact opportunitiesWhat schedule, order, or ordinary opportunity for contact applies? Note what is known and what is uncertain.Direct observationsWhat did you personally see or hear? Include dates or sources where useful; do not assign motive.Child’s words or behaviorRecord exact words or observable behavior only when directly available. Do not question or coach a child to fill gaps.Safety and differential concernsAre there reports or observations involving abuse, neglect, fear, intimidation, coercive control, substance use, or other harm? State what is known and who assessed it.Protective factors and supportsWhat helps the child feel safe and supported? Include reliable adults, routines, professional support, and strengths.Question for a professionalWhat decision or question do you want to bring to an attorney, clinician, evaluator, or safety advocate?

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